Modulation of cerebral cortex activity by acupuncture in patients with prolonged disorder of consciousness: An fNIRS study

Background and objectiveAcupuncture is a promising non-pharmacological therapy for patients with prolonged disorder of consciousness (PDOC); however, its underlying mechanism remains uncertain. This study aimed to reveal the modulatory effects of acupuncture on the cerebral cortex activity among pat...

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Main Authors: Yiwei Liu, Ning Sun, Jing Xiong, Yuanfang Zhou, Xiangyin Ye, Hua Jiang, Hua Guo, Na Zhi, Jingkang Lu, Peijue He, Huilin Yang, Qingbin Li, Ruirui Sun, Jing He
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2022.1043133/full
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author Yiwei Liu
Yiwei Liu
Ning Sun
Ning Sun
Jing Xiong
Jing Xiong
Yuanfang Zhou
Xiangyin Ye
Hua Jiang
Hua Jiang
Hua Guo
Hua Guo
Na Zhi
Jingkang Lu
Jingkang Lu
Peijue He
Peijue He
Huilin Yang
Huilin Yang
Qingbin Li
Qingbin Li
Ruirui Sun
Jing He
Jing He
author_facet Yiwei Liu
Yiwei Liu
Ning Sun
Ning Sun
Jing Xiong
Jing Xiong
Yuanfang Zhou
Xiangyin Ye
Hua Jiang
Hua Jiang
Hua Guo
Hua Guo
Na Zhi
Jingkang Lu
Jingkang Lu
Peijue He
Peijue He
Huilin Yang
Huilin Yang
Qingbin Li
Qingbin Li
Ruirui Sun
Jing He
Jing He
author_sort Yiwei Liu
collection DOAJ
description Background and objectiveAcupuncture is a promising non-pharmacological therapy for patients with prolonged disorder of consciousness (PDOC); however, its underlying mechanism remains uncertain. This study aimed to reveal the modulatory effects of acupuncture on the cerebral cortex activity among patients with PDOC.Materials and methodsTwenty-eight PDOC patients were randomly assigned to the treatment (n = 14) or control (n = 14) group. The treatment group received one session of acupuncture, while the control group received one session of sham acupuncture. All patients underwent evaluation of the functional connectivity and activation response of the dorsolateral prefrontal cortex (DLPFC), primary motor cortex (M1), and primary somatosensory cortex (S1) via functional near-infrared spectroscopy. We further explored the potential correlation of the consciousness level and activation response/functional connectivity with acupuncture.ResultsCompared to the control group, a single session of acupuncture significantly tended to enhance resting-state functional connectivity (rsFC) in DLPFC-M1, DLPFC-M1, and S1-S1. And the activation level of the DLPFC (both sides) in the acupuncture group is significantly higher than those in sham acupuncture group. However, no significant correlation was found between the consciousness level and activation response/functional connectivity.ConclusionOne session of acupuncture has a significant modulation of rsFC and activation in the DLPFC, M1, and S1 with PDOC patients. Acupuncture-evoked effect may have some functional significance in PDOC patients. This is an important step toward exploring the acupuncture effects on PDOC patients.
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spelling doaj.art-54333be222c847e3826ae2a46ef136ed2022-12-22T04:36:25ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2022-11-011610.3389/fnins.2022.10431331043133Modulation of cerebral cortex activity by acupuncture in patients with prolonged disorder of consciousness: An fNIRS studyYiwei Liu0Yiwei Liu1Ning Sun2Ning Sun3Jing Xiong4Jing Xiong5Yuanfang Zhou6Xiangyin Ye7Hua Jiang8Hua Jiang9Hua Guo10Hua Guo11Na Zhi12Jingkang Lu13Jingkang Lu14Peijue He15Peijue He16Huilin Yang17Huilin Yang18Qingbin Li19Qingbin Li20Ruirui Sun21Jing He22Jing He23Rehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, ChinaRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, ChinaRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, ChinaAcupuncture and Tuina School/The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaAcupuncture and Tuina School/The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, ChinaRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, ChinaAcupuncture and Tuina School/The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, ChinaRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, ChinaRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, ChinaRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, ChinaAcupuncture and Tuina School/The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, ChinaBackground and objectiveAcupuncture is a promising non-pharmacological therapy for patients with prolonged disorder of consciousness (PDOC); however, its underlying mechanism remains uncertain. This study aimed to reveal the modulatory effects of acupuncture on the cerebral cortex activity among patients with PDOC.Materials and methodsTwenty-eight PDOC patients were randomly assigned to the treatment (n = 14) or control (n = 14) group. The treatment group received one session of acupuncture, while the control group received one session of sham acupuncture. All patients underwent evaluation of the functional connectivity and activation response of the dorsolateral prefrontal cortex (DLPFC), primary motor cortex (M1), and primary somatosensory cortex (S1) via functional near-infrared spectroscopy. We further explored the potential correlation of the consciousness level and activation response/functional connectivity with acupuncture.ResultsCompared to the control group, a single session of acupuncture significantly tended to enhance resting-state functional connectivity (rsFC) in DLPFC-M1, DLPFC-M1, and S1-S1. And the activation level of the DLPFC (both sides) in the acupuncture group is significantly higher than those in sham acupuncture group. However, no significant correlation was found between the consciousness level and activation response/functional connectivity.ConclusionOne session of acupuncture has a significant modulation of rsFC and activation in the DLPFC, M1, and S1 with PDOC patients. Acupuncture-evoked effect may have some functional significance in PDOC patients. This is an important step toward exploring the acupuncture effects on PDOC patients.https://www.frontiersin.org/articles/10.3389/fnins.2022.1043133/fullacupunctureneuroplasticityfunctional near-infrared spectroscopy (fNIRS)prolonged disorder of consciousnessdorsolateral prefrontal cortex (DLPFC)
spellingShingle Yiwei Liu
Yiwei Liu
Ning Sun
Ning Sun
Jing Xiong
Jing Xiong
Yuanfang Zhou
Xiangyin Ye
Hua Jiang
Hua Jiang
Hua Guo
Hua Guo
Na Zhi
Jingkang Lu
Jingkang Lu
Peijue He
Peijue He
Huilin Yang
Huilin Yang
Qingbin Li
Qingbin Li
Ruirui Sun
Jing He
Jing He
Modulation of cerebral cortex activity by acupuncture in patients with prolonged disorder of consciousness: An fNIRS study
Frontiers in Neuroscience
acupuncture
neuroplasticity
functional near-infrared spectroscopy (fNIRS)
prolonged disorder of consciousness
dorsolateral prefrontal cortex (DLPFC)
title Modulation of cerebral cortex activity by acupuncture in patients with prolonged disorder of consciousness: An fNIRS study
title_full Modulation of cerebral cortex activity by acupuncture in patients with prolonged disorder of consciousness: An fNIRS study
title_fullStr Modulation of cerebral cortex activity by acupuncture in patients with prolonged disorder of consciousness: An fNIRS study
title_full_unstemmed Modulation of cerebral cortex activity by acupuncture in patients with prolonged disorder of consciousness: An fNIRS study
title_short Modulation of cerebral cortex activity by acupuncture in patients with prolonged disorder of consciousness: An fNIRS study
title_sort modulation of cerebral cortex activity by acupuncture in patients with prolonged disorder of consciousness an fnirs study
topic acupuncture
neuroplasticity
functional near-infrared spectroscopy (fNIRS)
prolonged disorder of consciousness
dorsolateral prefrontal cortex (DLPFC)
url https://www.frontiersin.org/articles/10.3389/fnins.2022.1043133/full
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